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SOUTHEASTERN MEDICAL GROUP, P.A.
NPI 1265479091
Internal Medicine in Wilmington, NC

Active since June 01, 2006
637 S KERR AVE, WILMINGTON, NC 28403(910) 799-1810(910) 452-2571 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southeastern Medical Group, P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN MEDICAL GROUP, P.A. (NPI 1265479091) is a healthcare organization registered as an internal medicine in Wilmington, North Carolina and active in the NPI registry since June 2006. The organization lists Patricia Mayes Wilson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1265479091
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTHEASTERN MEDICAL GROUP, P.A.
Location Address637 S KERR AVEWilmington, NC 28403-8423
Mailing Address637 S Kerr AveWilmington, NC 28403-8423 · (910) 799-1810 · Fax (910) 452-2571
Phone(910) 799-1810
Fax(910) 452-2571
Organization SubpartNo
Authorized OfficialPatricia Mayes WilsonOffice Manager · (910) 799-1810
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1265479091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NC · 16755
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
637 S KERR AVE, Wilmington, NC 28403
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Other Identifiers 2

Medicaid8902701NC
Other02701NC · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JACK KENNEY WILSON JR. MD
Internal Medicine
637 S KERR AVE
WILMINGTON, NC 28403
New Hanover County (910) 799-1810
MR. ALAN EFIRD THOMAS M.D.
Internal Medicine
637 S KERR AVE
WILMINGTON, NC 28403
New Hanover County (910) 799-1810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Medical Group, P.A.'s NPI number?

The NPI number for Southeastern Medical Group, P.A. is 1265479091. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Southeastern Medical Group, P.A. located?

Southeastern Medical Group, P.A. is located at 637 S Kerr Ave, Wilmington, NC 28403. The listed phone number is (910) 799-1810.

What is Southeastern Medical Group, P.A.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Southeastern Medical Group, P.A. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.